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선돌출입 교정 - 설측교정으로 치료한 사례

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작성자 연세반트치과 댓글 1건 조회 3,159회 작성일 18-11-20 15:40

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안녕하세요. 연세반트치과 원장 교정전문의 시경근입니다.

수능이 끝나고 날씨가 많이 추워졌습니다. 겨울철 추운 날씨에 감기 조심하시기 바랍니다. 오늘 보여드릴 케이스는 선돌출입 교정, 설측교정입니다. 치아 건강에 관심이 많아지면서, 교정 치료가 보편화되고 치아 바깥쪽에 장치를 붙여 교정하는 게 낯설지 않은 치료가 되었습니다. 그럼에도 직업상의 이유로 또는 개인적인 사정으로  교정 장치가 보이지 않는 치료를 원하시는 분들이 늘고 있습니다. 최근 설측교정과 투명교정 장치를 이용한 교정이 많아지는 것도 이를 반영하는 듯 합니다.


일반적으로 치아의 바깥쪽에 장치를 붙여서 교정하는 협측 교정에 비해 설측교정은 치아의 안쪽에 장치를 붙이다보니 혀의 불편감이 생기게 됩니다. 그래서 가능한 교정브라켓을 붙이는 기간을 줄이는 방법이 고안되었고, 돌출입 교정시 발치한 공간을 닫을때까지 앞니 설측에 고정식 레버암을 이용하여 앞니를 후방견인하는 방법으로 교정 마무리에만 교정브라켓을 부착하는 치료가 가능하게 되었습니다.

환자분 케이스를 보겠습니다.
입이 돌출된 주소로 내원하였고, 직업상의 이유로 설측으로 교정하기로 하였습니다. 초진에 앞니 치아의 총생이 많지 않아서 위쪽은 설측 레버암을 이용하여 선돌출 해소 후 설측교정으로 마무리하기로 하였습니다.

초진 얼굴사진입니다. 입술이 다소 두껍고 입이 돌출되어 보입니다.




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초진 입안사진입니다. 위아래 모두 약간의 치아총생이 관찰됩니다.



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입돌출감 해소를 위해 위아래 작은어금니 4개를 발치하여 설측교정을 계획하였고, 위쪽은 치아총생이 경미하여 설측 레버암을 이용하여 교정브라켓 부착없이 먼저 후방견인 하기로 하였습니다.



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상악 설측 레버암을 이용하여 앞니를 발치공간으로 후방이동 후 설측장치를 부착하여 치아총생을 배열하였습니다. 



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배열 후 잔여 공간을 닫고 교합을 맞춰 교정을 마무리 하였습니다.




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치료 후 얼굴변화입니다. 입돌출감이 해소되었습니다.


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설측레버암을 이용한 후방견인은 치아총생이 경미한 경우 돌출입 교정시에 심미적으로 장치를 노출시키지 않으면서 교정브라켓 부착 기간을 최소한으로 하여 환자분들의 불편감을 최소화하고 만족감을 높일 수 있는 설측교정의 한 방법입니다.

항상 최고의 치료술식과 치료 만족도을 드리기 위해 한번 더 생각하고, 고민하는 연세반트교정치과입니다. 저는 구월동로데오에서 교정전문치과인 연세반트교정치과를 운영하는 교정전문의 시경근원장입니다.


홈페이지 칼럼은 제가 직접 작성하고 있습니다. 감사합니다.^^



연세반트 교정치과 홈페이지안내 : www.vantdental.com
전화번호: 032) 421-2001
카카오톡 상담 : 연세반트교정치과 (친구추가해주세요)

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